Effective communications between clinicians working across organisational barriers is vital to providing integrated, coordinated, patient-centred care, and for delivering the best experience of care and outcomes for patients.

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This broad clinical review provides guidance and recommendations for health systems looking to provide more and better care out of hospital, both for acute illness and long term condition care.

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Sussex Collaborative sought advice from the South East Clinical Senate (SECS) to review and provide recommendations on both the approach taken and the outline proposals of the main providers for future stroke services of across Sussex. The review should prove useful for other healthcare systems undertaking similar reviews.

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There is now a major focus on the future role and form of acute hospitals, and the planning of any change requires a detailed understanding of the complex inter-relationships between clinical services. This clinical senate report provides a comprehensive clinical overview of the inter-dependencies of a wide range of acute hospital-based clinical services, and some of the key factors that should be taken in to account.

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Simon Chapman, Director of Policy, Intelligence and Public Affairs at the National Council for Palliative Care said:
“Too many people still aren’t talking about or getting their end of life wishes met, which is why we welcome this important new publication. Planning ahead makes it more likely you will be able to get the care and support that is right for you, and we fully support the emphasis that the South East Clinical Senate are putting on raising awareness about the importance of Advance Care Planning. There needs to be radical change so that everyone approaching the end of life is offered Advance Care Planning as an integral part of their care.”

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Welcome to the website of the Clinical Senate South East. Clinical senates began in 2013 and have been established to be a source of independent, strategic advice and guidance to commissioners and other stakeholders to help them to make the best decisions about healthcare for their populations.

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Kent and Medway sought advice on their draft cases for change for these two services. The reports provide a multi-professional review of factors important in designing high quality modern services, accounting for the available evidence and best practice. These reviews should prove useful for other healthcare systems undertaking similar reviews.

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The Clinical Senate Council is a small multi-professional steering group. This group co-ordinates and manages the Clinical Senate’s business. It maintains a strategic overview across their region and is responsible for the formulation and provision of advice working with the broader Clinical Senate Assembly.

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The Clinical Senate Assembly is a diverse multi-professional body providing the Council with ready access to a pool of experts from a broad range of health and care professions. The Assembly also includes patient representatives and encompasses the birth to death spectrum of NHS Care.

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Our Key Stakeholders

CCG Commissioners; The South of England Specialised Commissioning; Area Teams – Surrey and Sussex, Kent and Medway form part of NHS England South; Kent Surrey Sussex Academic Health Science Network; Health Education England Kent Surrey and Sussex; Public Health England; NHS Improving Quality (IQ); NHS Citizen; RAISE; Health & Wellbeing Boards – Surrey and Sussex, Kent and Medway

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The centralisation of acute stroke services can achieve important benefits to patients. The implications for hospitals that lose such services in the process, and for their local population, have not however previously been clearly articulated. This report was requested by the Surrey commissioners, but is intended to be of value to all stakeholders in health and care systems in England considering re-configuration of their stroke pathways.

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A regional summit hosted by the South East Clinical Senate

This important regional summit, hosted by the South East Clinical Senate, brought together senior individuals from all the major health and care organisations within Kent, Surrey and Sussex,
The meeting provided a unique and timely opportunity for a wide range of stakeholders to come together to

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Annual Report 15/16: The clinical senate has continued to demonstrate the value of its unique regional role, in providing independent, strategic, clinical and evidence based advice to the health systems in the South East.

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A briefing for clinicians on achieving the best patient outcomes within available resources. This report defines the concept of value in healthcare, both for populations and for individual patients, and how this requires a re-focus on achieving outcomes that matter for patients, aided by shared decision making, and an understanding of all the resources required to deliver those outcomes. Only in this way can we ensure that the care we deliver is appropriate and effective, and that we are making the best use of the NHS’s clinical and financial resources.

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